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<br /> N0710E OF DEED,RE3TRIC710N8: The undersigaed,under�tands�thgt:Ihls.:p�nnitmayFbe.sub)�ct.to,°deed'resUlctiohs'_. .. _
<br /> which may;tie�mote��testtlative�tha�►Gou�ty�cegriletfons:Theunderslgned essumes=r'eaponsltifllty for'complia'nce witFi any'� � '"
<br /> eppliceble.deed resMctlona. - ,��,; .: • , - -
<br /> UNUCENSED�CONTRACTORS AND CONTRACTOR�RESPON3IBILITI�S:•`•If the�owner has'hireil a"contractor or
<br /> contrectors to undertake work,they may,be;iegulred•:to:�e:llcensed In ecxordance:with state.and;local.regulallo�s:=1f<the•- �
<br /> contractor.-Is not llcensed'es�requl�ed'tiy few, both�the owner arrtl=oon4actor°may-be-cited•for:a`misdemeanor violatlon
<br /> under state law. It the owner or Intended�contra�tor:are:tmcertain as to what Ilcenalrtg;regulremerrts;mey epply:�tor-`the-• •�
<br /> Intended w6rk,they are ad`vlseii'to coritacf_tFie.Pasco County_Bull'ding lnepection Dlvlslpn-Licensing SecBon at 72T-847-
<br /> 8009. Furttiermore, If tFie oiivner Fias'htred e contiracEor o�contractors, Fie is advised to have the contractor(s);,sign.
<br /> portlons oi the'contractor.Block'of thle.epplicatlan.for_which they wlll_be-re�ponaible.��If you,,-as:.the own'e'r aign�as'fFie •
<br /> contractor;Ihat rney be�an IndlcaUon thaEhe i"s�noYproperly Iicenaed and ls�riot entitled to pemiitti"n'8 privilege9 In Pasco
<br /> Counly. ___.__. �''�:`�: -
<br /> TRANSP.ORTATION.IMPACTIUTIL(fIES�I�lAPAC�ANb RESOUItCE RECOVERYfEE3:'f#�e�unders(gned understands
<br /> that TraAsportaUon Impact Fees:and.Reco.uree Recovery_.Fees mey:apply�to,the conabuctlon.ai new bulidings,.chan�e�of='`� =- �
<br /> use 9n exieHng bultdings,or,expanslo�%of�ezisNrip'�bufldings,�as apeoffied.In Pasco County Ordinance number 89-07 and •
<br /> 90-07,as amended.,:,The undersigned also,understands,thgEsuch fees,.ea,may�6gldue;;wIIF�De identi�ed at the=Hme`of•°' -=" �'
<br /> perml8ing. It is furtfier underatood that Tra�sportation Impacf'Fees and'�Reaource.Recove"ry{Fees:must be paid p�lor to
<br /> receiving a'certiNcat�-of•occupancy'or ftnal�powe,r,.•�elease. :I#the proJecE:daes�not lrnolve�a:ce�tiflgate of occupa�cy�o��='�� �
<br /> ftnal power release;_the feea must`tie p�id p�1or to.permit IsBpance. Futt6etmore;I�.Pasco;C.punty�UVater/Sewer::lmpact .
<br /> fees are due;,lhey_must be=pald:pr�or to permit:lasUa'nce-In.alxord"ance_w1Ui eppllcable_Pasco�Gounty�oidlnances. •
<br /> CONSTRUCTION LIEN-LAYV(Chepter 713,Fiartda Statutes,as ame�rdec�: K valuatlon af work Is 32,500.00;or:more,I� �. =
<br /> cerUfy tFiat I, the applicant, have-been providei!�with a=copy of::the�'Elorlda ConstrucNon Llen.1'aw—Homeowner's
<br /> ProtecUon Guide'prepared by tF�e FloHda Depertmenf of Agriculture and Conaumer;Affalrs. if the applicant Is someone �
<br /> other than the'owner',I certffy,.th�t,l_h9ve-obte)neii:a`cbpy.of..the;abovades.crllied document�and;promisein:good:talth.to
<br /> deliver it to lhe'ov�mer`.pilor:to-comrimencemenfc'' �` " ' - � - _.�
<br /> • CONTRACTOR'SIOWNER'S AFFIDAVIT: I.ceitj[y�:ttigtall.the;lnformaflon:J�thl�appllcaHon Is accurate.and that all work
<br /> will'be done In compltance with all.appllcable�lawa regtileUng conatrucUon,zoning and land devel.opment. ApplicaUon Is
<br /> hereby made to obtain.a.permft.:to do;:we��t,;and'thsteileNon es tndl�eted,�=:1•�certify thet no work�or Installation tias
<br /> commenced prlor b issuance of a pertniE"and thet:all work wlll be perfonned�to meet.stand�ds=af all laws re�uladng-
<br /> construcGon, Counq►and Cfty codes, zoning regulaUans, and land development[egiilattons�tn�ttie]urisdicUon.= P also
<br /> certify that I understand that the repulatlons of other govemment egencies may•apply�to.the intended work,and that ft is
<br /> my responsibiliiy to Identlfy.what.ecUons I must•teke.to be.dn_compliance,;Such,a�jencles Include buf°are.not Ilmited to:
<br /> - Department of Environmental�Protecdon=�ipr'ess.bayheadg;�WeUend Areas and Ernfronmentally SensitNe
<br /> Lands,WatedWestewater Treetment.
<br /> - Southwest Florida W�ter Manapement:DlsMct:Wells, Cypres.s.`�Bay�eads; Wetlend Areas, Altering
<br /> Watercoursea.
<br /> - Army Corps of Engineers�eawalls;'Docka,Navigatile Waterways.
<br /> - Department of Health�& Rehabilltetive Serdlces/Envlronmental Health lih(t-Well.s, Wastewater�Treatment,
<br /> Septic Taniis. � ' �
<br /> - US Environmental Protection Agency-Asbestos abatement
<br /> Federal AvieRonAulhorlly-RurnYays:
<br /> I underetand that the.followln,g.iesMcllona apply to tFie use of flll:•
<br /> - Use of flll Is not allowed in'Flood;Zone'V'unless expresalyi permltted.
<br /> - If the fill mateHal•"ta 'to=be�used�ln�:f.lood Zone.'A', It Is understood that a dralnage plan addressing a
<br /> 'compeFlsaling volume'will be submitted at Ume of-permftling wfiich is prepared by a professional engineer
<br /> Ilcensed by tfie State of'Flotlda: � _ � - •
<br /> - If ih�flll matertal�Is:to-be u�ed In Flood Zone'A' In�connectlon�with a�peFmitted building using stem wall
<br /> conatrucUon,l certKy that.�ll:vidll=be-used onty.to.ml the area wlthin:the�stem wall.
<br /> - if flll material is to be useii�in.any erea;�1-c�rtly tfiat.uae of such fill wlll not adversely affect adJacent
<br /> propertfes. It use of fill Is.toun�to advere�lyr,affect adJaeedt�properlles,,the owner may be cited far.violaUng
<br /> the cwndWons..of.the bullaing'<pgrmlt-Issued=under t6a atEacFied.pertnit eppllca0on,for.°.lots less,than.one(1)
<br /> acre wfiicli ere elevat'ed�6y flll;�n�ngineered dralnage plan is requlred.
<br /> If I am the AGENT FOR THE�OWNEF�_I�romise_In good.,f,alth to IMorm the owner of-the permiWng condidons set forth In
<br /> this atfidavit'prfor to commencing conshiictlon. I underatend that e�aeparate permit may be required tor etectrical work,
<br /> plumbing, signs,wells,.pools,_alr_condltloning,-.gas,T-o��ot�e�Inste�'Stfons not.speclflcally Induded�tn.the application. .A
<br /> permit Issued shall be cons6ued to be�a'license'to`proceed with'81e yir'orli and not-as:authority to,violeter cancel,elter,or
<br /> set aslde any�provisiohs of the.teclinli;al codes;nor ahall lasuance•of a.permlt.prevent the Buildlrig Offidal irom thereatter
<br /> requi�ng e,correcUon�errora In.plene;�const'iuction.oc viola0ons ofany�codea. Every'permit lssued"sfialFbecome invatid
<br /> unless the work eutfiorFced;by such permlt>is.commenc�d•wlthln sfx,montha oi permft lasuance,or if worlc authorized by
<br /> the pertnk la suspended.or,aba�doned:for:a;peHod;o��six:(8)�montlis atter the Um�the�work:te commenced, M extension
<br /> may be requeated,In writing,_.irom the.'Building.O�cial for a peHod:not to-exc�ed"n(t�etjr'(90)deys and wlli demonstrate
<br /> Justmable cause for.dhe extension. If work ceafles,for ninety.(90)cons.ecutNre:day�,.th\�ob�ta considered abandoned:
<br /> WARNING TO OWNEI�: YOUR-EAILIJRE.;TO.RECORQ_A:al0T10E OF•�COMMEMCEMENT.�.NFAY=RESULT IN YOUR
<br /> PAYINO 7WICE;FOR.1MPFtOVEMENTB_�x?,XOUR�PRDR.EI��:1E:t IF:YO.tl�lt!F7F.KID:�T(3:�6&7'q�N'FII�fNEING;�O{VSULT
<br /> � � Q � O E`s�� 9U . ,�
<br /> FLORIDAJURAT�(F.Srtf?. ) .. , _,..; . - - -
<br /> �__ 4 ,
<br /> ONMER OR AOENT-. CONTRACCO '
<br /> Subsalbed and or etll ed)before me S�6salbed'and' m (ot a rtned)befote nle'fhl
<br /> by ,� .
<br /> VYho lalate personefry krtawn lo.me r haal�e produeed Who tdare peroonally Imown lo ine or haelhave prodix�d
<br /> �d°^ �^• ea tdentlflcatlon.
<br /> Sns'-., OEL E. CON
<br /> _ _ mmi�aioMFFF���3P� Notery PuWlc
<br /> mia
<br /> Commiseton No^� _; �' �Alres June 29,2018 ��b : :.= Commissbn#FF 137073
<br /> ���'��,p,m��r BaW�E7M�TrryFinNoavc�BOD3BS7019
<br /> Name o!Notery typed,printed ar atemped Neme of Notery lyped,pdnted or sfamped
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